FDA Adverse Event Malfunction Summary report: N

SENSOR ENLITE

MDR report key: 4386701 · Received December 6, 2014

Report

Report Number
2032227-2014-62304
Event Type
Malfunction
Date Received
December 6, 2014
Date of Event
January 1, 2014
Report Date
November 11, 2014
Manufacturer
MEDTRONIC MINIMED
Product Code
OZO
PMA / PMN Number
120010
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

FINDINGS: RELIABILITY ANALYSIS INSPECTED 1 OPENED/USED ENLITE SENSOR AND PERFORMED BICARBONATE BUFFER TEST ((B)(4)). SENSOR PASSED PER SPECIFICATIONS WITH ACCURATE READINGS. ET (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED THAT THE CUSTOMER'S SENSORS WERE ONLY LASTING ONE TO TWO DAYS. HER BLOOD GLUCOSE WAS 124 MG/DL AT THE TIME OF REPORTING. SHE STATED THAT SHE WAS ALSO RECEIVING LOW THRESHOLD SUSPENDS ON HER INSULIN PUMP. THE SENSOR WAS RETURNED FOR ANALYSIS. NO ADDITIONAL INFORMATION WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
788996 SENSOR ENLITE OZO MEDTRONIC MINIMED MMT-7008A

Patients

Seq Age Sex Outcome Treatment
1 51 YR